Individual
MISS MELISSA PADGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1006 BOARDMAN-CANFIELD RD., SUITE 1-A, BOARDMAN, OH 44512
(330) 726-6700
(330) 965-9594
Mailing address
1006 BOARDMAN-CANFIELD RD., SUITE 1-A, BOARDMAN, OH 44512
(330) 726-6700
(330) 965-9594
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
021871
OH
1223G0001X
General Practice Dentistry
30-02-1871
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2682539
—
OH
Enumeration date
10/25/2006
Last updated
10/20/2009
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